Black Stone Health PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BLACK STONE HEALTH PC

Practice address

2358 NW Kings Blvd
Suite 100
Corvallis, OR 97330

Phone

(541) 368-5986

Fax

(866) 624-8745

NPI assigned

Jun 3, 2014

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marc Musson, DONPI 1649589896

Title

Owner

Phone

(513) 658-8605

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Musson, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Corvallis, OR
  • NPI 1649589896
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1457764961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 NW KINGS BLVD #100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 NW KINGS BLVD",
            "address_2": "SUITE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-368-5986",
            "fax_number": "866-624-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK STONE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "MUSSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-658-8605",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500683153",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall C. Bissinger, MD
• Bit by Bit
• Hannah Bittner
• Alex Bitz, CADC II
• Lisa J Bjornstad, CADC
• Dalton Black
• Kurt S. Black, D.D.S.
• Mary Ellen Black, M.D.
• Katherine J Blackwelder
• Emma Bryanne Blake, RN

• Medical Specialty Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.